GORDON PRIEDEMAN PSY.D.
NPI 1235658295
Psychologist in Los Angeles, CA
About Gordon Priedeman Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GORDON PRIEDEMAN PSY.D. (NPI 1235658295) is an individual psychologist in Los Angeles, California, licensed in California (36081) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gordon Priedeman Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gordon Priedeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gordon Priedeman's NPI number?
The NPI number for Gordon Priedeman is 1235658295. It was assigned to this individual provider in the NPPES registry on September 11, 2017.
Where is Gordon Priedeman located?
Gordon Priedeman practices at 801 N Fairfax Ave Unit 312, Los Angeles, CA 90046. The listed phone number is (213) 700-2857.
What is Gordon Priedeman's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Gordon Priedeman enrolled in Medicare?
Yes. Gordon Priedeman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gordon Priedeman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gordon Priedeman reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gordon Priedeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gordon Priedeman accept?
Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Select Health and UnitedHealthcare list Gordon Priedeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gordon Priedeman was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.